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13 Possible Causes for Horner's Syndrome, Recurrent Pneumonia due to Aspiration

  • Hypotension

    Clinical presentation was hoarseness, aspiration pneumonia and hypoxemia requiring ventilatory support.[] […] symptoms Symptoms of decreased sympathetic function may include the following: Orthostatic hypotension Decreased sweating Ejaculatory dysfunction Ptosis associated with Horner[] Neuropraxia of recurrent laryngeal nerve due to prolong intra-operative hypotension, even with normal endotracheal tube cuff pressure was the likely mechanism.[]

  • Parapharyngeal Abscess

    pneumonia (due to spontaneous rupture), meningitis, and epiglottitis.[] Neurologic sequelae most commonly consist of Horner's syndrome with cerebral ischemia being uncommon.[] Koivunen P, Lopponen H (1999) Internal carotid artery thrombosis and Horner’s syndrome as complications of parapharyngeal abscess.[]

  • Retropharyngeal Abscess

    pneumonia (due to spontaneous rupture), meningitis, and epiglottitis.[] A case of tuberculous retropharyngeal abscess is described here presenting with odynophagia and Horner's syndrome.[] This is a case of a 12 year old female who presented initially with neck pain which progressed to right neck swelling, difficulty swallowing and right sided Horner’s syndrome[]

  • Dysautonomia

    pneumonias due to aspiration, Inability to tolerate lower oxygen levels Kidney: dehydration with elevated blood urea nitrogen (BUN), poor kidney blood flow, salt wasting,[] Horners syndrome Horner's syndrome pupil (disorder) Left cervical sympathetic dystrophy Left Horners syndrome Left shoulder hand syndrome Multisystem degeneration of autonomic[] Of note, ptosis in Horner syndrome is due to a sympathetic defect to Mueller muscle, which is found in both superior and inferior eyelids; therefore, Horner syndrome can produce[]

  • Zenker Diverticulum

    Patients are typically elderly, and they can present with halitosis, dysphagia, regurgitation, or recurrent pneumonias as a result of aspiration.[] Potential adverse events include fistula formation, abscess, hematoma, recurrent laryngeal nerve paralysis, difficulties in phonation and Horner's syndrome.[] Slideshow This barium swallow demonstrates a Zenker diverticulum, a pouch that forms in the hypopharynx above the upper esophageal sphincter due to high pharyngeal pressures[]

  • Hereditary Sensory Neuropathy

    Recurrent pneumonias due to aspiration and insensitivity to hypoxia and hypercapnia are the respiratory manifestations.[] Impairment of the autonomic nervous system may be evident by the presence of Horner syndrome and the cold pressor test. See Special studies (pdf) for more details.[] In the gastrointestinal system, it manifests as impaired swallowing, decreased lower oesophageal sphincter pressure and frequent aspirations.[]

  • Familial Dysautonomia

    pneumonias due to aspiration, Inability to tolerate lower oxygen levels Kidney: dehydration with elevated blood urea nitrogen (BUN), poor kidney blood flow, salt wasting,[] Idiopathic peripheral autonomic neuropathy G90.01 Carotid sinus syncope G90.09 Other idiopathic peripheral autonomic neuropathy G90.1 Familial dysautonomia [Riley-Day] G90.2 Horner's[] […] occurrences of pneumonia due to aspiration Heart abnormalities These consist of: Dysrhythmias Hypotension or low blood pressure Episodes of high blood pressure and erratically[]

  • Foreign Body in the Pharynx

    Children with partial oesophageal obstruction may present with a chronic course featuring inability to feed, failure to thrive, fever, recurrent aspiration pneumonitis/pneumonia[] […] ipsilateral Horner and some neurological symptoms (transient ischemic attack, or a focal deficit paresis) [5].[] […] or respiratory embarrassment/stridor (due to tracheal impingement).[]

  • Scapuloperoneal Spinal Muscular Atrophy

    Bulbar involvement predisposes the person with spinal muscular atrophy to recurrent aspiration pneumonia, due to weakening of the muscles necessary for efficient swallowing[] syndrome 48, 92, 152, Hyperkinesia 383 symptoms and signs 176 318 Hypermetria 70 treatment 178 central 92 Hyperprolactinemia 258 see also Stroke Hospital hopper 138 Hypersomnia[] 166, 176–177, growth 143 Hyperhidrosis, Parkinson dis- 270 thyroid 143 ease and 208 complications 176 Hyperkalemia 52, 338, 401 see also specific hormones pathogenesis 178 Horner[]

  • Autosomal Dominant Myoglobinuria

    […] suck Pharyngela: Difficulty swallowing, recurrent aspiration pneumonia, cough during meals, weight loss Weakness of jaw when chewing.[] syndrome (disorder) {770626007, SNOMED-CT } Congenital muscular dystrophy due to lamin A/C mutation (disorder) {771272007, SNOMED-CT } Congenital myopathy with internal nuclei[] Ocular Double vision, blurred vision, ptosis, disconjugate eye movements Bulbar Palatal: Nasal speech, weak cry, nasal regurgitation of liquids due to palatal weakness, poor[]

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